OBJECTIVE To evaluate the Quality of Life of the patients who received a total gastrectomy with different kinds of reconstruction methods.METHODS Patients who received a total gastrectomy between May 1999 to May 2003 were followed-up via questionnaires. Fifty-nine who were alive more than 2 years with no sigh of recurrence were enrolled in this study. The patients were divided into 2 groups as follows: a group treated with reconstruction with a duodenal passage after total gastrectomy (gastric substitute, GS); and a group receiving reconstruction without duodenal passage after total gastrectomy (Jejenal pouch, JP). Follow-up feedback data of 14 items from the patients were analyzed, comparing the Quality of Life (QOL) between the 2 groups.RESULTS Six months after operation, the most common symptoms of all patients were reflux and loss of body weight, but there was no statistically significant differences in the 14 items related to the special post-operation symptoms between the 2 groups. At 12 months after the operations,there were significant differences between the 2 groups in body weight (P=0.01), eating time (P=0.034＜0.05), and frequency of food intake (P=0.040＜0.05); At 24 months after the operations, the only difference between the 2 groups was body weight gain (P=0.025＜0.05). The JP group was better than the GS group.CONCLUSION The JP reconstruction patt is superior to a simple GS in gain of body weight, volume of food intake and frequency of food intake, soon after the operation.